Join Optum’s Impactful Team in the Tri-State Region (formerly CareMount Medical, ProHEALTH New York, and Riverside Medical Group) and play a vital role in transforming healthcare for individuals throughout New York, New Jersey, and Connecticut. At our extensive network of locations, you’ll collaborate with cutting-edge technology and a talented team who share your enthusiasm for enhancing lives. Dive into a vibrant healthcare environment that embodies our mission of Caring. Connecting. Growing together.

As a Medication Navigator, you will be at the forefront of supporting patients in their medication adherence journeys. This role is essential to improving patient experiences and health outcomes by ensuring that individuals can successfully fill, refill, and take their prescribed medications. You will work to identify challenges that inhibit medication adherence and guide patients through overcoming these obstacles. Your contributions will be pivotal to the Quality Team in achieving superior performance in key quality and patient experience initiatives.

Work Schedule: 8:30 am to 5:00 pm EST

Work Environment: Fully Remote Opportunity Anywhere in the U.S.

Embrace the flexibility of working from home as you tackle meaningful challenges, helping us make a positive impact.

Your Key Responsibilities:

• Proactively connect with patients, healthcare providers, and pharmacies to facilitate the timely filling and refilling of critical prescriptions, particularly for managing cholesterol, hypertension, and diabetes.

• Educate and empower patients to gain a clear understanding of their medication regimens and the benefits associated with them.

• Serve as the go-to expert on pharmacy-related metrics, including MAD, MAC, MAH, SUPD, and SPC.

• Resolve obstacles and streamline processes to ensure patients can fill or refill their medications efficiently, while connecting them with resources to cut costs, access mail delivery, and secure 90-day prescriptions. Act as a resource for non-clinical team members.

• Achieve daily outreach goals through various communication methods (telephone, mail) with patients, providers, and pharmacies.

• Review and audit medication adherence reports, addressing discrepancies with payors.

• Engage in strategy meetings with Tri-State Leadership and payors to devise innovative solutions for enhancing medication adherence.

• Contribute to the development of new initiatives and workflow advancements, particularly in managing high-risk patient populations.

• Support quality measure initiatives, including chart reviews and data submission to payors.

• Mentor and train non-clinical staff members to enhance team capabilities.

• Perform additional duties as assigned to support overall team objectives.

Why Choose to Work with UnitedHealth Group?

Combine a competitive salary with a robust benefits package in a management environment that genuinely invests in your success. Our offerings include:

• Accrual of Paid Time Off from your first pay period, plus 8 Paid Holidays.

• Comprehensive Medical Plan options, with additional participation in a Health Spending Account or Health Savings Account.

• Dental, Vision, Life & AD&D insurance options, along with Short-term and Long-term Disability Coverage.

• Access to a 401(k) Savings Plan and Employee Stock Purchase Plan.

• Education Reimbursement and Employee Discounts.

• Employee Assistance Programs and Referral Bonus Programs.

• Voluntary Benefits including pet, legal, and long-term care insurance.

• For more details, please download our information packet.

Here, you’ll find recognition and rewards for your contributions in an environment that promotes both challenge and guidance on how to excel in your role while exploring additional career opportunities.

Qualifications We’re Looking For:

• High School Diploma or GED (or higher).

• A minimum of 1 year of patient-facing experience, ideally in medication reconciliation or management settings.

• Proficient in Microsoft Office Suite, particularly Word and Outlook.

• Access to a quiet home workspace that ensures the protection of Protected Health Information (PHI).

• Residency in an area where you can secure high-speed internet access approved by UnitedHealth Group.

Preferred Credentials:

• Certification or license as a Pharmacy Technician, Medical Assistant, or Nurse, or possession of an Associate’s Degree (or higher) in pharmacy or nursing.

• Bilingual proficiency in English and Spanish is a plus.

• Experience with medical terminology (6 months or more preferred).

Key Skills:

• Strong ability to work independently, exercising good judgment and accountability.

• Proven track record of collaboration with healthcare providers.

• Exceptional organizational and time management skills.

• Adept at multitasking and prioritizing to meet deadlines.

• Ability to perform well under pressure in a fast-paced environment.

• Excellent verbal and written communication skills, with the ability to convey information effectively and understand instructions from others.

• Collaborative team player with a commitment to achieving shared goals.

All remote employees are required to comply with UnitedHealth Group’s Telecommuter Policy.

The salary range for this position is $16.88 to $33.22 per hour for full-time employment, influenced by various factors like local labor markets, education, work experience, and relevant certifications. UnitedHealth Group ensures compliance with all applicable minimum wage laws. In addition, you will enjoy a comprehensive benefits package, incentive programs, stock purchase options, and 401(k) contributions, all subject to eligibility standards. No matter where you begin your career with us, you’ll have access to a wide array of benefits and incentives.

Pursuant to the San Francisco Fair Chance Ordinance, we welcome qualified applicants for employment, regardless of arrest or conviction records.

Application Deadline: This position will be posted for at least 2 business days or until a sufficient candidate pool has been established. The posting may close early if we receive a high volume of applications.

At UnitedHealth Group, we strive to help individuals lead healthier lives while ensuring the health system works efficiently for everyone. Our commitment encompasses all individuals, regardless of race, gender, sexuality, age, location, or income. We aim to eliminate barriers to health that disproportionately affect marginalized communities and individuals with lower incomes. Our efforts focus on delivering equitable care that addresses and improves health disparities, aligning with our mission.

UnitedHealth Group is proud to be an Equal Employment Opportunity employer. Qualified applicants will be considered for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or veteran status, or any characteristic protected by local, state, or federal laws.

Committed to maintaining a drug-free workplace, candidates may be required to undergo a drug test prior to employment.